title: Retrospective analysis of duodenal injuries: a comprehensive overview.
abstract: OBJECTIVE
  Duodenal injury is an uncommon finding, accounting for about about 3-5% of abdominal trauma, mainly resulting from both penetrating and blunt trauma, and is associated with significant mortality (6-25%) and morbidity (30-60%).
  
  
  METHODS
  Retrospective analysis was performed in terms of presentation, management, morbidity and mortality on 14 patients of duodenal injuries out of a total of 172 patients of abdominal trauma attending Subharti Medical College.
  
  
  RESULTS
  Epigastric pain (100%) along with vomiting (100%) is the usual presentation of duodenal injuries in blunt abdominal trauma, especially to the upper abdomen. Computed tomography (CT) was diagnostic in all cases. Isolated duodenal injury is a rare finding and the second part is mostly affected.
  
  
  CONCLUSIONS
  Duodenal injury should always be suspected in blunt upper abdominal trauma, especially in those presenting with epigastric pain and vomiting. Investigation by CT and early surgical intervention in these patients are valuable tools to reduce the morbidity and mortality.
authors.affiliation: Department of Surgery, Subharti Medical College, Meerut, India. ashu.arati@gmail.com
authors.forename: Sanjay
authors.initials: S
authors.lastname: Pandey
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Niranjan
authors.forename: Shashank
authors.initials: S
authors.lastname: Mishra
authors.forename: Tarun
authors.initials: T
authors.lastname: Agrawal
authors.forename: Basant M
authors.initials: BM
authors.lastname: Singhal
authors.forename: Akhil
authors.initials: A
authors.lastname: Prakash
authors.forename: Prakash C
authors.initials: PC
authors.lastname: Attri
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D015331:Cohort Studies; D003287:Contrast Media; D013505:Digestive System Surgical Procedures; D004386:Duodenum / Q000293:injuries*; D006801:Humans; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D003287:Contrast Media